Piercing consent form template
A piercing consent form records a client's agreement after reviewing the procedure, risks and aftercare. Florida requires written notarized parent or guardian consent before piercing a minor [1]. The template includes a separate parent page to document that consent before the appointment.
The template includes a separate parent or guardian page for minors.
Download the piercing consent form template (PDF) Download the piercing consent form template (Word)This template is a general starting point and is not legal advice.
What goes on a piercing consent form?
A piercing consent form records client and procedure details.
- Client details and photo ID: Record the client's name, date of birth, contact information and ID checked.
- Piercing and jewelry: Describe the placement, jewelry and appointment date.
- Health questions: Ask about allergies, skin conditions, medications, pregnancy and relevant health details.
- Risks: Explain possible infection, swelling, scarring, rejection or allergic reaction in direct language.
- Aftercare acknowledgement: List the guidance and add a client confirmation line.
- Release: Identify the service and parties addressed by the release.
- Parent or guardian consent: Add a separate minor page with the adult's name, relationship, ID details and signature.
- Piercer details: Add the piercer's name and studio contact information.
- Signature and date: Add dated signature lines for the client, piercer and parent or guardian where applicable.
A piercing waiver combines these sections.
How to fill out a piercing consent form
Complete the studio and procedure details before the client signs the piercing consent form.
- Add the studio's name and address.
- Record the client's name, date of birth and identification details.
- Describe the piercing placement and jewelry.
- Have the client answer the health questions.
- Review risks and aftercare with the client.
- Collect the client's signature and, for a minor, the parent's or guardian's consent page.
- File the signed copy with the client record.
State rules that change this form
Florida requires written, notarized consent from a parent or legal guardian; Kansas requires prior written, notarized consent from a parent or court appointed guardian for anyone under 18 [1] [2].
- Florida: A parent or legal guardian accompanies a minor under 16 [6].
- Kansas: The piercer keeps the written permission and, when a guardian consents, a copy of guardianship letters for 5 years [7].
Check local rules before piercing a minor.
Who needs to sign
The client signs and dates the piercing consent form, and the piercer countersigns. For a minor, a parent or guardian signs. Florida requires written notarized parental consent [1]. In Kansas, the consenting adult is present during piercing [8].
Can you sign a piercing consent form online?
Yes, if the transaction is in or affects interstate commerce: under the federal E-SIGN Act, a signature or record on a piercing consent form can't be denied legal effect solely because it's electronic [3]. An electronic signature is a sound, symbol or process attached to a record and adopted with intent to sign [4].
Where a law requires a record to be retained, an electronic copy meets that requirement if it accurately reflects the record and stays accessible to people entitled to it [9]. Louisiana's Uniform Electronic Transactions Act (UETA) says a signature is attributable to a person if it was that person's act [5]. That act can be shown in any manner, including by showing a security procedure worked [10].
Florida's notarized parental consent is a separate step from an electronic signature [1]. Learn about online signing software; the link does not describe notarization.
Frequently asked questions
What is a piercing consent form?
A piercing consent form records a client's understanding of the procedure, its risks and aftercare before a body piercing. It includes the client's details and signature. For a minor, the template has a separate parent or guardian page. Florida requires written notarized parent or guardian consent to pierce a minor [1].
Do you need a piercing consent form for minors?
The template includes a parent or guardian consent page for minors. Florida and Kansas have specific consent rules: Florida requires written notarized consent, and Kansas requires prior written and notarized consent from a parent or court appointed guardian [1] [2]. Check the applicable rules before piercing a minor.
Who signs a minor consent form for piercing?
The client signs and dates the piercing consent form, and the piercer countersigns. A parent or guardian signs the consent page for a minor. In Kansas, the parent or guardian who gives consent is present during the piercing [8]. Florida requires the parent's or legal guardian's written notarized consent [1].
What does a Florida minor piercing consent form need?
Florida requires written notarized consent from a minor's parent or legal guardian before body piercing [1]. A Florida establishment also cannot pierce a minor under 16 unless a parent or legal guardian accompanies the minor [6]. The template has a separate parent or guardian page for documenting consent.
Is a piercing waiver the same as a piercing consent form?
A piercing waiver form may include consent to the procedure, a record of health questions, an aftercare acknowledgement and release language. The consent section records the client's agreement after reviewing the procedure and risks. The template separates client details, parent or guardian consent for minors, the piercer's information and signatures.
Can a piercing consent form be signed online?
A client can sign a piercing consent form online. For transactions in or affecting interstate commerce, the federal E-SIGN Act says a signature or record can't be denied legal effect solely because it's electronic [3]. Florida's separate requirement for notarized parent or guardian consent remains relevant to minors [1].
Sources
- Florida Statutes section 381.0075, fetched 2026-10-29.
- Kansas Statutes section 65-1953, fetched 2026-10-29.
- 15 U.S.C. 7001, E-SIGN Act, fetched 2026-10-29.
- 15 U.S.C. 7006, E-SIGN Act definitions, fetched 2026-10-29.
- Louisiana Revised Statutes 9:2609, Uniform Electronic Transactions Act, fetched 2026-10-29.
Related templates
- General consent form template: use it for a different service or activity.
- Tattoo consent form: use it to record consent for tattooing.
- Medical consent form for a minor: use it to authorize medical care for a child.
- Lash extension consent form: use it for an eyelash extension appointment.
- General liability waiver template: use it for an activity with physical risks.